Individual
DR. DHARUSHANA MUTHULINGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1004 KENNERLY RD, STE 171 B, SAINT LOUIS, MO 63128
(314) 821-0900
(800) 556-8932
Mailing address
PO BOX 504934, SAINT LOUIS, MO 63150-4934
(314) 821-0900
(800) 556-8932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019020528
MO
207RI0200X
Infectious Disease Physician
Primary
2019020528
MO
Other
Enumeration date
03/27/2012
Last updated
08/10/2021
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